Pain management coding is one of the most complex areas in outpatient billing, involving a wide range of procedures, imaging, and documentation requirements. This webinar will guide attendees through the nuances of ICD-10-CM coding for pain diagnoses, CPT coding for injections, neurostimulators, imaging, and physical therapy, and the importance of medical necessity and payer policies.
Participants will learn how to accurately report services such as epidural injections, facet joint procedures, and neurolytic destruction, while navigating Medicare LCDs/NCDs and commercial payer guidelines. The session will also cover prior authorization requirements, documentation tips, and how to use payer websites and coverage databases effectively.
Whether you’re new to pain management coding or looking to refine your skills, this session offers a comprehensive overview of the codes, policies, and strategies needed to ensure accurate reimbursement and compliance.
• How to code pain diagnoses using G89 and M54 categories
• CPT codes for spinal imaging, injections, and neurostimulators
• Understanding payer coverage policies and LCD/NCD criteria
• Tips for documenting medical necessity and avoiding denials
• Prior authorization requirements for outpatient procedures
• Differences in guidance modalities (fluoroscopy, CT, ultrasound)
• Modifier usage for bilateral procedures
• Navigating payer websites for policy updates
• ICD-10-CM codes linked to trigger point injections
• Best practices for follow-up visits and physical therapy coding
Lynn Anderanin is a nationally recognized expert in orthopedic coding and compliance with over 40 years of experience. She is a Coding Compliance Manager. Lynn frequently speaks on CPT®, ICD-10, and compliance topics, specializing in orthopedic and E/M services.